Johnson Eyecare, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

OPC4329 Issued in ZZ

Legal business name

JOHNSON EYECARE, LLC

Doing business as

JOHNSON EYECARE, LLC

Practice address

15661 San Carlos Blvd
Fort Myers, FL 33908-2797

Phone

(339) 221-4549

NPI assigned

Sep 6, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sarah Ann Johnson, OD

Title

Owner

Phone

(339) 221-4549

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• JOHNSON EYECARE, LLC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536192000000",
    "number": "1275015133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8584 BIG MANGROVE DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339087694",
            "telephone_number": "339-221-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15661 SAN CARLOS BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339082797",
            "telephone_number": "339-221-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "339-221-4549",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "ZZ",
            "license": "OPC4329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "720219",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOHNSON EYECARE, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John R. Ellis Massage, Inc.
• John S. Bruno, M.D., P.a.
• Johner Therapy Inc
• Caroline Johns, M.D
• Jeffery W Johns, DO
• Carrie Lynn Johnson, MS, NCC, LMHC
• Cheryl Diane Johnson, M.D.
• Cory Johnson, PT, DPT
• Courtney Johnson
• David Paul Johnson, M.D.

• Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.